Comparative evaluation of anti inflammatory effect of bromelain-trypsin combination versus diclofenac sodium after surgical removal of mandibular third molar teeth

  • ASM Ariful Islam Medical Officer, Department of Oral & Maxillofacial Surgery, Dhaka Dental College & Hospital, Dhaka, Bangladesh
  • Mohammad Asifur Rahman Assistant Professor, Department of Oral & Maxillofacial Surgery, Dhaka Dental College & Hospital, Dhaka, Bangladesh
  • Shakhawat Hossain Assistant Professor, Department of Oral and Maxillofacial Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
  • Quazi Billur Rahman Professor & Chairman, Department of Oral and Maxillofacial Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
Keywords: Bromelain-trypsin, Diclofenac sodium, Surgical extraction

Abstract

Aim: The focus of the education was to assess the success between localanesthetic infiltration injection and inferior alveolar nerve block anesthesia in extraction of Chronic periodontitis mandibular posterior teeth.

Methods: 100 patients aged between 13 and 73 years who attended the Department of Dental surgery, BIRDEM General Hospital for extraction of advance periodontitis of mandibular molars were included in this study. For the infiltration anesthetic technique, patient’s approval was taken. The patients were equally divided into two groups. Group (1) received 0.6 ml out of 1.8 ml of 2% lidocaine with 1:80000 adrenaline injection bucally and the same amount infiltration lingually opposite the intended tooth. Group (2) received 1.5 ml out of 1.8 ml of 2% lidocaine with 1:80000 and the remaining 0.3 ml was injected for long buccal nerve anesthesia.

Results: In this Study we found 88% patients were pain free and Group-2 94% patients were pain free During extraction of Advance periodontitis of mandibular molars. P-value was 0.138 and it was not < 0.05. So it was not significant. On the other side 103 patients out of 113 were pain free in male and 79 patients out of 87 were pain free in female and 6 patients out of 87 were feeling pain during tooth extraction of advance periodontitis of mandibular molars. P-value was 0.138 and it was not < 0.05. So it was not significant.

Conclusion: Infiltration anesthesia for non-vital mandibular molars is effective as a substitute for inferior alveolar block technique.

Update Dent. Coll. j: 2020; 10 (1): 16-20

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Abstract
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Published
2020-04-17
How to Cite
Islam, A. A., Rahman, M. A., Hossain, S., & Rahman, Q. B. (2020). Comparative evaluation of anti inflammatory effect of bromelain-trypsin combination versus diclofenac sodium after surgical removal of mandibular third molar teeth. Update Dental College Journal, 10(1), 16-20. https://doi.org/10.3329/updcj.v10i1.46687
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Original Articles